- Volume 14 Issue 7
DOI QR Code
Development of Self-management Instrument for Pre-dialysis Patients with Chronic Kidney Disease
투석전 만성신장병 환자의 자가관리 도구 개발
- Received : 2014.04.17
- Accepted : 2014.06.12
- Published : 2014.07.28
This study aimed to develop a valid and reliable self-management instrument for pre-dialysis patients with chronic kidney disease (CKD). A total of 143 patients with CKD recruited from a medical center completed the questionnaire. The dimension and items of self-management were composed by literature review. The items of self-management was evaluated using exploratory factor analysis and measures of reliability. Five factors were extracted and labelled adherence to treatment regimen and partnership, diet adherence, problem solving, health behavior, and pursuit of psycho-social health. The five factors accounted for 51.1% of total variance. Each factors showed acceptable internal reliability with Cronbach's alpha from 0.64-0.79. The developed self-management instrument can be useful in self control of their disease for patients with CKD, and both evaluating patients' self-management and developing intervention program for health care professionals.
Self-management;Pre-dialysis Chronic Kidney disease;Instrument Development
Supported by : 학술진흥재단
- 전정자, 김애경, 최상옥, 애정희, 최미경, 장선아, "만성 폐쇄성 폐질환의 자가관리측정도구 개발", 대한간호학회지, 제33권, 제1호, pp.9-16, 2003.
- D. W. Johnson, E. Atai, M. Chan, R. K. Phoon, C. Scott, N. D. Toussaint, G. L. Turner, T. Usherwood, K. J. Wiggins, and KHA-CARI, "KHA-CARI guideline: Early chronic kidney disease: detection, prevention and management," Nephrology, Vol.18, No.5, pp.340-350, 2013. https://doi.org/10.1111/nep.12052
- C. S. Ryu, SPSS 14.0 for windows (5th ed). Seoul: Elite, 2006.
- R. B. Curtin, D. Mapes, D. Schatell, and S. Burrows-Hudson, "Self-management in patients with end stage renal disease: exploring domains and dimensions," Nephrology Nursing Journal, Vol.32, No.4, pp.389-395, 2005.
- M. M. Funnell and R. M. Anderson, "MSJAMA: the problem with compliance in diabetes," The Journal of the American Medical Association, Vol.284, No.13, pp.1709, 2000. https://doi.org/10.1001/jama.284.13.1709-JMS1004-6-1
- M. P. Gallant, "The influence of social support on chronic illness self-management: a review and directions for research," Health Education & Behavior, Vol.30, No.2, pp.170-195, 2003. https://doi.org/10.1177/1090198102251030
- 강미경, 강선미, 김수영, "혈액투석환자의 삶의 질에 대한 사회적 지지의 영향과 공적 서비스의 조절효과", 한국콘텐츠학회논문지, 제13권, 제11호, pp.277-287, 2013. https://doi.org/10.5392/JKCA.2013.13.11.277
- N. M. Clark, "Management of chronic disease by patients," Annual Review of Public Health, Vol.24, No.1, pp.289-313, 2003. https://doi.org/10.1146/annurev.publhealth.24.100901.141021
- R. B. Curtin and D. L. Mapes, "Health care management strategies of long-term dialysis survivors," Nephrology Nursing Journal, Vol.28, No.4, pp.385-92; discussion 393-4, 2001.
- L. Costantini, "Compliance, adherence, and self-management: is a paradigm shift possible for chronic kidney disease clients?," CANNT Journal, Vol.16, No.4, pp.22-26, 2006.
- K. R. Lorig and H. Holman, "Self-management education: history, definition, outcomes, and mechanisms," Annals of Behavioral Medicine, Vol.26, No.1, pp.1-7, 2003.
- R. B. Curtin, B. A. Walters, D. Schatell, P. Pennell, M. Wise, and K. Klicko, "Self-efficacy and self-management behaviors in patients with chronic kidney disease," Advances in Chronic Kidney Disease, Vol.15, No.2, pp.191-205, 2008. https://doi.org/10.1053/j.ackd.2008.01.006
- 김혜진, 혈액투석환자의 자가관리 향상을 위한 시청각 교육프로그램의 효과, 인제대학교 보건대학원 석사학위논문, 2012.
- 이정이, 복막투석환자의 지식, 태도 및 자가간호 수행, 연세대학교 간호대학원 석사학위논문, 2008.
- X. H. Wang, J. H. Pang, L. Lin, Y. Xu, Q. Jiang, Q. Wang, G. Y. Lu, and N. S. Wang, "Development and Testing of Self-Management Scale for Pd Patients," Peritoneal Dialysis International, Epub ahead of print, 2014.
- 최은성, 구조화된 자가관리교육이 만성신장병 환자의 지식,자가간호수행 및 신장기능에 미치는 효과, 경희대학교 교육대학원 석사학위논문, 2012.
- C. C. Lin, C. C. Wu, L. M. Wu, H. M. Chen, and S. C. Chang, "Psychometric evaluation of a new instrument to measure disease self-management of the early stage chronic kidney disease patients," Journal of Clinical Nursing, Vol.22, No.7-8, pp.1073-1079, 2013. https://doi.org/10.1111/j.1365-2702.2011.04048.x
- 강세원, 대사증후군 대상자의 생활습관 평가 도구 개발, 연세대학교 박사학위논문, 2007.
- 김귀정, 한정수, "당뇨 및 심혈관 질환자를 위한 개인 맞춤형 의료정보 융합시스템 설계", 한국콘텐츠학회논문지, 제1권, 제9호, pp.90-96, 2009. https://doi.org/10.5392/JKCA.2009.9.9.090
- United States Renal data system, 2013 Atlas of CKD & ESRD. Retrieved April 9, 2014, from http://www.usrds.org/atlas.aspx
- 한국보건복지정보개발원, 국민영양조사 제5기 2차년도 결과보고서. Retrieved April 9, 2014, from http://www.bokjiro.go.kr/data/statusView.do?boardsid=297&data_sid=5951029
- A. A. Honeycutt, J. E. Segel, X. Zhuo, T. J. Hoerger, K. Imai, and D. Williams, "Medical costs of CKD in the Medicare population," Journal of the American Society of Nephrology, Vol.24, No.9, pp.1478-1483, 2013. https://doi.org/10.1681/ASN.2012040392
- D. S. Tuot, L. C. Plantinga, C. Y. Hsu, R. Jordan, N. R. Burrows, E. Hedgeman, J. Yee, R. Saran, N. R. Powe, and Centers for Disease Control Chronic Kidney Disease Surveillance Team, "Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction," Clinical Journal of the American Society of Nephrology, Vol.6, No.8, pp.1838-1844, 2011. https://doi.org/10.2215/CJN.00730111
- T. Bodenheimer, E. H. Wagner, and K. Grumbach, "Improving primary care for patients with chronic illness: the chronic care model, Part 2," JAMA : The Journal of the American Medical Association, Vol.288, No.15, pp.1909-1914, 2002. https://doi.org/10.1001/jama.288.15.1909
- C. C. Lin, C. C. Wu, R. M. Anderson, C. S. Chang, S. C. Chang, S. J. Hwang, and H. C. Chen, "The chronic kidney disease self-efficacy (CKD-SE) instrument: development and psychometric evaluation," Nephrology, Dialysis, Transplantation, Vol.27, No.10, pp.3828-3834, 2012. https://doi.org/10.1093/ndt/gfr788
- J. Barlow, C. Wright, J. Sheasby, A. Turner, and J. Hainsworth, "Self-management approaches for people with chronic conditions: a review," Patient Education and Counseling, Vol.48, No.2, pp.177-187, 2002. https://doi.org/10.1016/S0738-3991(02)00032-0
- An Empowerment Program to Improve Self-Management in Patients with Chronic Kidney Disease vol.30, pp.4, 2018, https://doi.org/10.7475/kjan.2018.30.4.426